J Korean Surg Soc.  2011 Jun;80(Suppl 1):S40-S42. 10.4174/jkss.2011.80.Suppl1.S40.

Cardiac tamponade caused by tuberculosis pericarditis in renal transplant recipients

• Kim JM
• Kim SJ
• Joh JW
• Kwon CH
• Song YB
• Shin M
• Moon JI
• Jung GO
• Choi GS
• Kim BN
• Lee SK

• KMID: 2096648
• DOI: http://doi.org/10.4174/jkss.2011.80.Suppl1.S40

Abstract

A 50-year-old male, renal transplant recipient, was admitted with fever and chest discomfort. At admission, chest radiologic finding was negative and echocardiography showed minimal pericardial effusion. After 2 days of admission, chest pain worsened and blood pressure fell to 60/40 mmHg. Emergency echocardiography showed a large amount of pericardial effusion compressing the entire heart. Pericardiocentesis was performed immediately. Mycobacterium tuberculosis was isolated from pericardial fluid. Tuberculosis pericarditis should be considered as the cause of cardiac tamponade in renal transplant recipients, even with the absence of pericardial effusion in the initial study or suggestive history.

Keyword

Pericardiac tamponade; Renal transplantation; Tuberculosis; Tuberculosis pericarditis

MeSH Terms

Blood Pressure
Cardiac Tamponade
Chest Pain
Echocardiography
Emergencies
Fever
Heart
Humans
Kidney Transplantation
Male
Middle Aged
Mycobacterium tuberculosis
Pericardial Effusion
Pericardiocentesis
Pericarditis
Thorax
Transplants
Tuberculosis

Figure

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  Fig. 1 Parasternal long-axis view showing large pericardial effusion (arrow) and right ventricle collapse (asterisk). The D-shape of left ventricle was detected in diastole which was affected by respiratory variation.

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